Bleeding events in bevacizumab-treated cancer patients who received full-dose anticoagulation and remained on study
2011

Bevacizumab Safety in Cancer Patients on Anticoagulation

Sample size: 194 publication Evidence: moderate

Author Information

Author(s): Leighl N B, Bennouna J, Yi J, Moore N, Hambleton J, Hurwitz H

Primary Institution: Princess Margaret Hospital

Hypothesis

Does bevacizumab increase the risk of severe bleeding in cancer patients receiving therapeutic anticoagulation?

Conclusion

Bevacizumab did not increase the risk of severe bleeding in cancer patients who received therapeutic anticoagulation.

Supporting Evidence

  • Severe bleeding event rates were similar in frequency between bevacizumab and placebo groups.
  • No severe pulmonary bleeding was reported in any of the TA-treated populations.
  • Venous thrombotic events were the most common reason for TA initiation.

Takeaway

This study looked at cancer patients taking a drug called bevacizumab along with blood thinners. It found that using both together doesn't make bleeding problems worse.

Methodology

The study analyzed data from three large, placebo-controlled clinical trials where patients received bevacizumab and therapeutic anticoagulation.

Limitations

The study did not collect specific information on the dosage, frequency, or duration of anticoagulant agents, and the number of bleeding events was relatively low.

Participant Demographics

Patients included those with metastatic colorectal cancer and advanced non-small cell lung cancer.

Digital Object Identifier (DOI)

10.1038/sj.bjc.6606074

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